{
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"FirstLineMailingAddress": "PO BOX 5016",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CENTRAL POINT",
"MailingAddressStateName": "OR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "504-372-0939",
"MailingAddressFaxNumber": "541-871-7143",
"FirstLinePracticeLocationAddress": "700 TWIN CREEKS XING STE A",
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"PracticeLocationAddressCityName": "CENTRAL POINT",
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"EnumerationDate": "06/24/2025",
"LastUpdateDate": "06/24/2025",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WOLFE",
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"AuthorizedOfficialTelephoneNumber": "504-372-0939",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}